This authorization and consent form relates to the use or disclosure of (i) "protected health information" or "PHI" as that term is used under the Health Insurance Portability and Accountability Act of 1996, and associated regulations ("HIPAA"), and (ii) all data and information (including confidential information) of Client provided by Client or its Authorized Users to Athena (all such data and information, together with PHI, "Client Data") under the services agreement (the "Agreement") between athenahealth, Inc. ("athenahealth") and the client indicated below by the context identification number ("Client").
athenahealth supports the transfer of information through interfaces between the athenaNet® platform and certain third-party systems. Client requests and hereby authorizes athenahealth to enable the interface for Client with the third-party partner referenced above ("Partner") to send, receive, or exchange Client Data between the Client's athenaNet® tablespace(s) (as updated from time to time) and Partner's system(s). Client represents and warrants that (i) athenahealth and Partner are each Business Associates (as such term is defined under HIPAA) of Client, (ii) athenahealth and Partner have each executed a Business Associate Agreement (as such term is defined under HIPAA) with Client, and (iii) Partner provides Client with certain services that involve the use and disclosure of PHI. Notwithstanding any restriction in the Agreement to the contrary, Client consents to and authorizes Athena to send, receive, or exchange Client Data to Partner.